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This sounds a bit like the Sunrise Hospital Emergency Room treating patients from the Mandalay Bay shooting in 2017 > I said, “Bring all your patients togethe

by 1-more 1y ago

This sounds a bit like the Sunrise Hospital Emergency Room treating patients from the Mandalay Bay shooting in 2017 > I said, “Bring all your patients together.” They brought them all towards me, and I was at the head of multiple beds, spiraling out like flower petals around its center. We pushed drugs on all of them, and they all got intubated, transfused, chest tubed, and then shuffled to Station 1. > the respiratory therapist, said, “Menes, we don’t have any more ventilators.” I said, “It’s fine,” and requested some Y tubing. Dr. Greg Neyman, a resident a year ahead of me in residency, had done a study on the use of ventilators in a mass casualty situation. What he came up with was that if you have two people who are roughly the same size and tidal volume, you can just double the tidal volume and stick them on Y tubing on one ventilator. Groovy in an emergency scenario, but I, a humble non-doctor, like the idea of fewer compromises of sterility as the de rigueur way of doing things for non emergency surgeries. https://epmonthly.com/article/not-heroes-wear-capes-one-las-vegas-ed-saved-hundreds-lives-worst-mass-shooting-u-s-history/ https://epmonthly.com/article/not-heroes-wear-capes-one-las-...

koolba 1y ago
>> What he came up with was that if you have two people who are roughly the same size and tidal volume, you can just double the tidal volume and stick them on Y tubing on one ventilator. That is seriously cool!
GarnetFloride 1y ago
That's a really awesome article. It shows the power of just thinking about the what if scenario comes in very handy, because you begin to note information that might be useful. I have written a few disaster/emergency plans and they are often forgotten about almost immediately, to the point they forget they even had them after a year.
- 1-more 1y ago
  At my old gig the on-call rota involved doing a randomized fire drill at the start of your on call week. Think "the site is slow" or "users are seeing 500 errors." This included a TUI program to walk you through the fire drill with your partner. That same TUI was the tool to walk you through debugging a real fire, including alerting the right slack channels. It was very much inspired by how commercial pilots handle failures using checklists, allowing you to do as much of the problem solving as possible before the problem. It feels gross to compare it to ER docs saving lives in a mass casualty scenario but, well, I have a boring life but can relate to one aspect of theirs.
  - GarnetFloride 1y ago
    That's a really good plan. Its not the same but when your business is dead because one of the sysadmins accidentally deleted all the users from the system, its not all that different because many people's lives are on the line but the choices are different but some can become fatal.
    - cindyllm 1y ago
      [dead]

by 1-more 1y ago

koolba 1y ago

>> What he came up with was that if you have two people who are roughly the same size and tidal volume, you can just double the tidal volume and stick them on Y tubing on one ventilator. That is seriously cool!

GarnetFloride 1y ago

That's a really awesome article. It shows the power of just thinking about the what if scenario comes in very handy, because you begin to note information that might be useful. I have written a few disaster/emergency plans and they are often forgotten about almost immediately, to the point they forget they even had them after a year.

1-more 1y ago
At my old gig the on-call rota involved doing a randomized fire drill at the start of your on call week. Think "the site is slow" or "users are seeing 500 errors." This included a TUI program to walk you through the fire drill with your partner. That same TUI was the tool to walk you through debugging a real fire, including alerting the right slack channels. It was very much inspired by how commercial pilots handle failures using checklists, allowing you to do as much of the problem solving as possible before the problem. It feels gross to compare it to ER docs saving lives in a mass casualty scenario but, well, I have a boring life but can relate to one aspect of theirs.
- GarnetFloride 1y ago
  That's a really good plan. Its not the same but when your business is dead because one of the sysadmins accidentally deleted all the users from the system, its not all that different because many people's lives are on the line but the choices are different but some can become fatal.
  - cindyllm 1y ago
    [dead]